辨证分型联合西药治疗急性上呼吸道感染随机平行对照研究

目的]观察中西医结合治疗急性上呼吸道感染疗效。方法]使用随机平行对照方法,将90例门诊及住院患者按随机数字表法分为两组。对照组45例0.5g阿奇霉素+250mL0.9%葡萄糖,1次/d,静滴。20mL热毒宁+250mL0.9%葡萄糖,1次/d,静滴;0.2g利巴韦林+250mL0.9%葡萄糖,1次/d,静滴。治疗组45例①辨证分型;②肌肉注射;③推拿;西药治疗同对照组。连续治疗5d为1疗程。观测临床症状、体温变化、退热时间、不良反应。治疗1疗程(5d),判定疗效。结果]治疗组治愈28例,有效15例,无效2例,总有效率95.56%。对照组治愈17例,有效16例,无效12例,总有效率73.33%。治疗组疗效优于对照组(P0.05)。体温两组均有改善(P0.05),治疗组改善优于对照组(P0.05)。退热时间治疗组优于对照组(P0.05)。结论]中西医结合治疗急性上呼吸道感染效果显著,值得推广。

Combine Traditional Chinese and Western Medicine in Treatment of Acute Upper Respiratory Tract Infection Random Parallel Controlled Study

Objective]To observe combine traditional chinese and western medicine treatment of acute upper respiratory tract infection.Methods]Using random parallel control method,90 cases of outpatient and inpatient is divided into two groups according to random number table method. Control group 45 cases 0.5g azithromycin＋250 mL 0. 9% glucose,1 times/ d,static drops. 20 mL hot poison ning＋250 mL 0. 9% glucose, 1 times/ d,static drops. 0.2g＋250mL ribavirin. 9% glucose,1 times/ d,static drops. Of the treatment group 45 cases①intramuscular injection.②the massage.③western medicine treatment with the control group.Western medicine treatment with the control group. Continuous treatment 5 d to 1 course of treatment. Observation of clinical symptoms,temperature change,antifebrile time,adverse reactions. Treatment as a course（5d）,to determine efficacy. Results]The treatment group（26 cases cured,30 cases were markedly effective,17 cases effective,9 no effect,the total effective rate was 89.02%. Control group cure of 17 cases,23 cases were markedly effective,effective 15 cases,18 cases ineffective,the total effective rate was 75.34%. The treatment group curative effect is better than that of control group（P〈0.05）. Temperature in the two groups were improved（P〈0.05）,the treatment group is better than that of control group（P〈0.05）. Antifebrile time in treatment group is better than that of control group（P〈0.05）.Conclusion]Combine traditional chinese and western medicine treatment of acute upper respiratory tract infection effect is remarkable,is worth promoting.